Orthopedic approach to foreign body injuries

Abstract

Objective: Although foreign body injuries are quite common, there are an insufficient number of publications on this matter. The aim of this study was to evaluate patients with foreign body injuries, and to determine the treatment algorithm. Methods: A total of 97 patients were evaluated, including 53 men and 44 women. Ninety-one patients underwent surgery, and six patients were treated conservatively. Surgery was performed in the operating room in all cases. To ensure that the foreign body was removed, fluoroscopic control was completed during and after the procedure. Antibiotics were administered routinely to all patients, and the need for tetanus prophylaxis was evaluated in each patient. Results: The mean age of the patients was 16.5 (range: 2-58) years. Regarding the type of foreign body, there was injury due to: a needle in 65 patients, glass in 14, wood in 7, iron spit in 1, iron bar in 1, pieces of metal in 3, and other foreign bodies were found in 6 patients. There were 25 injuries of the upper extremity, and 72 of the lower extremity. The time of admission to the hospital after the injury ranged from 1 day to 3 years. Obvious signs of infection were detected in 10 patients. There were no complications after the follow-up of patients who were treated conservatively. Conclusion: Foreign body penetration is a severe injury that may cause significant problems when ignored. Treatment algorithms prepared according to the type of injury would guide the most appropriate approach to these injuries. (English) ABSTRACT FROM AUTHOR]; Amaç: Toplumda çok sik görülmesine ragmen, ortopedik sahayi ilgilendiren yabanci cisim batmalari literatürde yeteri kadar yer bulmamistir. Çalismamizin amaci yabanci cisim batmasi nedeni ile takip ettigimiz hastalari degerlendirmek ve tedavi yaklasimi ortaya koymaktir. Yöntemler: 53 erkek, 44 kadin olmak üzere toplam 97 hasta degerlendirildi. Hastalarin 91'ine cerrahi, 6'sina konservatif tedavi uygulandi. Cerrahi girisimlerin tamami ameliyathane sartlarinda gerçeklestirildi. Operasyon sirasinda ve sonrasinda skopi kontrolü yapilarak yabanci cisim ya da cisimlerin çikarildigindan emin olundu. Rutin olarak antibiyotik uygulanan hastalar tetanoz profilaksisi açisindan da degerlendirildi. Bulgular: Hastalarin ortalama yasi 16,5 (dagilim; 2-58) YIL idi. Hastalarin 65'inde igne, 14'ünde cam, 7'sinde tahta, 1'inde sis, 1'inde demir çubuk, 3'ünde metal parçasi ve 6'sinda diger yabanci cisimler tespit edildi. Yaralanmalarin 25'i üst ekstremitede, 72'si ise alt ekstremitede idi. Yaralanma sonrasi hastaneye basvuru süresi 1 gün-3 yil arasinda degismekteydi. Toplam 10 hastada belirgin enfeksiyon bulgulari tespit edildi. Konservatif kalinan hastalarin sonraki takiplerinde komplikasyon görülmedi. Sonuç: Yabanci cisim batmalari, dikkatli degerlendirilmediginde önemli sorunlara yol açabilen ciddi yaralanmalardir. Yaralanmanin tipine göre hazirlanan tedavi semalari en uygun yaklasimi belirlemede yol gösterici olacaktir. (Turkish) ABSTRACT FROM AUTHOR]; Copyright of Journal of Clinical & Experimental Investigations / Klinik ve Deneysel Arastirmalar Dergisi is the property of Journal of Clinical & Experimental Investigations and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)